Medicine convened a panel of experts and concerned individuals to address an area of growing concern in sports medicine: a triad of disorders observed in adolescent and young adult female athletes. This two-day workshop explored the medical and practical issues surrounding the Triad disorders in the setting of a comprehensive conference format which addressed prevention, screening, risk profiles, diagnostic parameters, training dynamics, treatment, educational gaps, and research needs.
Objective
To evaluate the extent to which mortality data, which is often used to track secular trends for specific diseases, underestimates the prevalence of dementia.
Design
Retrospective analysis of existing data.
Setting
Department of Mental Health inpatient facilities in South Carolina.
Subjects
Inpatients at Department of Mental Health facilities who were listed in the South Carolina Statewide Alzheimer's Disease and Related Disorders Registry and who died between 1988 and 1990 (n = 450).
Main Outcome Measures
Sensitivity and specificity of dementia diagnoses on death certificates compared to medical record diagnoses for inpatients with a pre‐mortem dementia diagnosis.
Results
Twenty‐three percent of death certificates contained any dementia diagnosis (104/450). The sensitivity of death certificates varied by type of dementia (28 percent for Alzheimer's disease; 8 percent for multi‐infarct dementia) as well as by race, sex, and age.
Conclusions
Mortality statistics substantially underestimate the prevalence of dementing illnesses and do not fully represent the public health burden of dementia.
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